| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MADISON T LE | 1295512648 | 2023-09-11 |
Madison T Le is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295512648. Registration indicates Madison T Le is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Madison T Le |
| Practice Office Address | 128 FAYETTE ST MARTINSVILLE, VA US |
| Practice Office Telephone | 2763524465 |
| Practice Office Fax | 2762931212 |
| Mailing Address | 128 FAYETTE ST MARTINSVILLE, VA 241122620 US |
| Business Telephone | 2763524465 |
| Business Fax | 2762931212 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 2204001243
VA |